HomeMy WebLinkAboutHomestead_Lush _INDIANA SALES DISCLOSURE FORM SDF ID: _ Pale 2
D.PREPARER — - —
Laura Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services, LLC
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555
City,State,and ZIP Code Telephone Number E-mail
.E.SELLER(S)/GRANTOR(S)_----- _ - - - - - -
Mark A Lush Jennifer K I ush
Seller I-Name as appears on conveyance document Seller I-Name as appears an conveyance document
308 Crestview Dr 308 Crestview Dr
Address(Number and Street) Address(Number and Street)
Owensville IN 47665 Owensville IN 47665
Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of setter s ture of Sellerlil
Mark A I ush 8/8/2014 Jennifer K.Lush 8/8/2014
Printed Name of Seller Sian Date(MM/DOR'YYY) Printed Name of Seller Sian Date rMM/oomYn
F:BUYER(S)/GRANTEE(S);=APPLICATION-FOR-PROPERTY TAX DEDUCTIONS --IDENTIFYALLITEMS.THAT APPLY.
Robert L.Lush 2008 Declaration of Trust dated 2/21/08 Ruth Ann Lush 2008 Declaration of Trust dated 2/21/08
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
3704 Doe Run Trail 3704 Doe Run Trail
Address(Number and Street) Address(Number and Street)
Springfield, IL 62711 Springfield, IL 62711
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE �'
Y NO CONDITION I YES NO CONDITION
❑ 1.Will this property be the buyer's primary d ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy HeapptilInlI Coolin Sfyystem
Cy-AS-Hs residence,including county: ❑ IS S.Wind Power DevgLI 1 1 D14
3o8 - cw -
u/drn��,(NUmberands[rnt) , I (�—"7f- 0 ❑ fl 6. Hydroelectric PoI. r Device
�t�,Jer1.`U I lit TEN 1 !V/ U-4\0n ❑ Q 7.Geothermal Ene ling Device
City.State ZIP Code / County �Yri�4k61 fd r T
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this pr �s��{(i l}T ty.
vacated for this residence? If yes,provide ❑ 51 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
�s Not available in all counties.)
Address(Number and Street) - /6-1 se n1-4n3 ,zig_0aa.
City,State ZIP Code County 4/ �(\ `(J {JJ
Primary property owner contact name E-mail
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